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A Comparison of US Federal Government Spending for Research and Development Related to Public Health Preparedness Capabilities, 2008–2017

Published online by Cambridge University Press:  22 August 2019

Mark Keim ,
Thomas D. Kirsch  and
Alex Lovallo
Mark Keim
Affiliation:
DisasterDoc LLC, Atlanta, Georgia
Thomas D. Kirsch*
Affiliation:
National Center for Disaster Medicine and Public Health, Rockville, Maryland
Alex Lovallo
Affiliation:
DisasterDoc LLC, Atlanta, Georgia
*
Correspondence and reprint requests to Thomas D. Kirsch, 11300 Rockville Pike, Suite 1000, Rockville, MD 20852 (e-mail: [email protected])
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Abstract

Objective:

The Centers for Disease Control and Prevention developed 15 National Public Health Emergency and Preparedness Response Capabilities (NPHPRCs) to serve as national standards for health-related core capabilities. The objective of this study is to determine the level of federal funding allocated for research related to NPHPRCs during 2008–2017.

Methods:

An online search of http://www.USAspending.gov was performed to identify federal awards, grants, contracts from 2008–2017 related to research associated with NPHPRCs. Inclusion criteria were identifiable as research and disaster-related; US-based; and specific reference to any of the NPHPRCs. A panel of 3 experts reviewed each entry for inclusion.

Results:

The search identified 15 278 transactions representing US $29.2 billion in awards. After exclusions, 93 entries were found to be related to NPHPRCs, averaging US $2 783 136 annually. Funding notably dropped to US $168 684 in 2010 and ceased entirely in 2016. Ten (67%) of NPHPRCs received funding. Eighty-percent of funding focused on 4 capabilities. Three federal agencies funded 80% of research. Sixteen (24%) of the 47 recipients received 80% of all funding.

Conclusion:

US federal investments in research and development related to NPHPRCs have been highly variable over the past decade. One-third of NPHPRCs receive no funding. There are notable gaps in funding, content, continuity, and scope of participation.

Keywords

disastersemergency preparednessfundingpublic healthpublic policy
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 4 , August 2020 , pp. 459 - 466
Copyright
© 2019 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Swiss Re Institute. Natural catastrophes and man-made disasters in 2017: a year of record-breaking losses. Sigma No. 1, 2018. http://media.swissre.com/documents/sigma1_2018_en.pdf. Accessed June 25, 2019.Google Scholar
U.S. Senate Appropriations Committee, Thad Cochran Chairman. Supplemental appropriations for disaster relief and recovery. 2018. https://www.appropriations.senate.gov/imo/media/doc/020718-SUPPLEMENTAL-SUMMARY.pdf. Accessed June 25, 2019.Google Scholar
Congressional Research Service. Presidential Policy Directive 8 and the National Preparedness System: background and issues for Congress. October 21, 2011. https://fas.org/sgp/crs/homesec/R42073.pdf. Accessed June 25, 2019.Google Scholar
CDC. National Public Health Preparedness and Response Capabilities: National Standards for State and Local Planning. November 28, 2018. https://www.cdc.gov/phpr/readiness/capabilities.htm. Accessed June 25, 2019.Google Scholar
CDC. Public Health Emergency Preparedness (PHEP) Cooperative Agreement. April 1, 2019. https://www.cdc.gov/phpr/readiness/phep.htm. Accessed June 25, 2019.Google Scholar
Center for Research in the Epidemiology of Disasters. EM-DAT Disaster Database (not dated). https://www.emdat.be/. Accessed June 25, 2019.Google Scholar
American Association for the Advancement of Science. R&D Budget and Policy Program. Federal R&D Budget Dashboard (not dated). https://www.aaas.org/page/federal-rd-budget-dashboard. Accessed June 25, 2019.Google Scholar
Lurie, N, Manolio, T, Patterson, A, et al. Research as a part of public health emergency response. N Engl J Med. 2013; 368;13:1251-1255.10.1056/NEJMsb1209510CrossRefGoogle ScholarPubMed
Shultz, J, Galea, S. Preparing for the next Harvey, Irma, or Maria – addressing research gaps. N Engl J Med. 2017;377:1804-1806.CrossRefGoogle ScholarPubMed
National Academies of Science. Exploring disaster risk reduction through community-level approaches to promote healthy outcomes. Proceedings of a Workshop - in Brief. Washington, DC: National Academies Press. 2016. https://www.ncbi.nlm.nih.gov/books/NBK379409/. Accessed June 25, 2019.Google Scholar
Department of Health and Human Services - National Biodefense Science Board. Call to action: include scientific investigations as an integral component of disaster planning and response. April 2011. https://www.hsdl.org/?abstract&did=691199. Accessed June 25, 2019.Google Scholar
Biomedical Advanced Research and Development Authority (BARDA). March 29, 2019. https://www.phe.gov/about/barda/Pages/default.aspx. Accessed June 25, 2019.Google Scholar
Watson, C, Watson, M, Sell, TK. Federal funding for health security in FY2018. Health Security. 2017;15(4):351-372.CrossRefGoogle ScholarPubMed
Shelton, SR, Connor, K, Uscher-Pines, L, et al. Bioterrorism and biological threats dominate federal health security research; other priorities get scant attention. Health Affairs. 2012;31(2):2755-2763.CrossRefGoogle ScholarPubMed
Savoia, E, Lin, L, Bernard, D, et al. Public health system research in public health emergency preparedness in the United States (2009–2015): actionable knowledge base. Am J Public Health. 2017;107(52): e1-e6.CrossRefGoogle ScholarPubMed
Gerli, M. Tracking federal funds: USAspending.gov and other data sources. Congressional Research Service, Washington, DC. October 23, 2018. https://fas.org/sgp/crs/misc/R44027.pdf. Accessed June 25, 2019.Google Scholar
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